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MATTHEW J SACKS MD NPI 1528014420


NPI Information

NPI: 1528014420
Provider Name: MATTHEW J SACKS, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
401 W POPLAR ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-2220
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Matthew J Sacks, MD is a specialist in Walla Walla, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Matthew J Sacks, MD NPI is 1528014420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 W POPLAR ST
WALLA WALLA, WA
ZIP 99362-846
Phone: (509) 525-2220

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD00041107WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11116094MEDICAIDWASHINGTON
2C93678MEDICARE UPIN
3GAB29716MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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